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In a sample of 13 patients with BPD, the dexamethasone suppression test (DST) has been used in a one\u2010year follow\u2010up study. There were no changes of cortisol concentrations before or after dexamethasone intake between baseline and follow\u2010up examination. Patients with comorbid posttraumatic stress disorder (PTSD) showed more pronounced cortisol suppression compared to those without PTSD. The DST seems to be a stable marker of alterations in HPA axis feedback regulation in BPD, which is also reflected by substantial correlations between percentage of cortisol suppression at baseline and follow\u2010up examination. \u00a9 2007 Wiley Periodicals, Inc. 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